Physician

Justin Stano

According to 2025 Medicare claims, Justin Stano (NPI: 1386059905) practices rheumatology in the Spartanburg, SC market, with the plurality of this provider's patient population coming from Spartanburg, SC. This provider's primary affiliated billing organization is ARTICULARIS HEALTHCARE GROUP INC. (NPI: 1083696413; TIN: 571099718) and primary practice location at 29303-4209. Stano is affiliated with the Collaborative ACO 30, LLC (ACO ID: A5483) and Indiana University Health ACO, Inc. (ACO ID: D0034), participating under both the MSSP and REACH models.

Stano's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 265 traditional Medicare patients, billed 560 HCPCS/CPT codes, and received $35,443 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 2,395 prescription claims across 374 beneficiaries totaling $2,368,321 in drug costs, led by Humira(Cf) Pen (Adalimumab). Open Payments data shows 1 records totaling $44. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved sharply higher in recent years, from $4,011 to $35,443. Similarly, Part D prescription costs have moved sharply higher in recent years, from $2,426 to $2,368,321. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$19K$37K2019 Medicare payment: $4,011 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $16,068 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $22,883 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $33,733 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $37,034 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $35,443 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
20193543$4,011
2020133336$16,068
2021165319$22,883
2022201398$33,733
2023207447$37,034
2024265560$35,443

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$1.4M$2.8M2015 Drug cost: $2,426 (USD; Tot_Drug_Cst)2016 Drug cost: $503 (USD; Tot_Drug_Cst)2017 Drug cost: $72,920 (USD; Tot_Drug_Cst)2018 Drug cost: $149,620 (USD; Tot_Drug_Cst)2019 Drug cost: $136,716 (USD; Tot_Drug_Cst)2020 Drug cost: $245,485 (USD; Tot_Drug_Cst)2021 Drug cost: $591,764 (USD; Tot_Drug_Cst)2022 Drug cost: $1,490,979 (USD; Tot_Drug_Cst)2023 Drug cost: $2,817,768 (USD; Tot_Drug_Cst)2024 Drug cost: $2,368,321 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151578$2,426
2016N/R18$503
201734163$72,920
201852299$149,620
201963299$136,716
2020151786$245,485
20212121,397$591,764
20222681,975$1,490,979
20233092,438$2,817,768
20243742,395$2,368,321

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more1111$122
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more5252$112
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more208291$80
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more1414$58
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's147167$12

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab822,286$815,574
RinvoqUpadacitinib531,590$322,814
Enbrel SureclickEtanercept17476$123,881
Humira PenAdalimumab17476$113,327
Humira(Cf)Adalimumab13364$84,594

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.1$44UCB, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Justin Stano?

Tedicare shows public-source Medicare data for Justin Stano (NPI 1386059905), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Justin Stano have ACO affiliation data?

Justin Stano is shown with ACO affiliation data for Collaborative ACO 30, LLC (MSSP, ACO ID A5483) and Indiana University Health ACO, Inc. (REACH, ACO ID D0034).

What billing organization is linked to Justin Stano?

Justin Stano is linked to ARTICULARIS HEALTHCARE GROUP INC. (billing NPI 1083696413) in the available physician profile data.

Does Justin Stano have Open Payments data?

Justin Stano has 1 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.